A 22-year-old patient is in your clinic for evaluation of dy…

A 22-year-old patient is in your clinic for evaluation of dyspnea and 2 different syncopal episodes after his workouts at the gym. He reports intermittent palpitations. On auscultation of his heart, you hear a harsh crescendo-decrescendo systolic murmur at the apex with radiation into the axilla. You have him perform a Valsalva maneuver and the murmur intensifies. You know this patient is at increased risk of all the following EXCEPT:

Ms. Dieter is a 64-year-old female who presents to your offi…

Ms. Dieter is a 64-year-old female who presents to your office with an ulcer on the anterior aspect of her leg. The skin of her leg appears to be very thin and has a brownish pigmentation. She states she shopped all day yesterday, and now has significant edema in her legs. What is the MOST LIKELY diagnosis?

You are evaluating your patient, a thin 73-year-old male wit…

You are evaluating your patient, a thin 73-year-old male with a history of poorly controlled hypertension and is a heavy smoker of 2 packs per day of cigarettes. During the abdominal exam, you palpate a mass in the umbilicus area. He denies abdominal, back, or groin pain. Your next step would include:

You are called into an ED room due to an adult patient with…

You are called into an ED room due to an adult patient with difficulty breathing. The RN reports she just administered Penicillin G IM. The patient appears in respiratory distress with O2 sats of 88% on room airHR 60    BP 90/40    RR 22 and laboredThe skin is warm and flushed. Your next step is to: